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Algodystrophy: Diagnosis and Therapy of a Frequent Disease by Professeur Paul Doury, Dr. Yves Dirheimer, Dr. Serge Pattin

By Professeur Paul Doury, Dr. Yves Dirheimer, Dr. Serge Pattin (auth.)

It is with nice excitement and ,much curiosity that I accredited to put in writing the foreword to this booklet by way of Paul Doury, Yves Dirheimer, and Serge Pattin just about "algodystrophy." First, simply because i do know the level in their own event, from which they've got chosen the easiest for this ebook. moment, since it appeared to me that their certain research of the varied works at the topic, works that have been released worldwide and which supply various physiopathologic interpretations, would offer a accomplished research assembly a true desire. Algodystrophy, to undertake the time period utilized by the authors, benefits rheumatolog­ ists' cautious awareness. it really is certainly a common and, as is now popular, happens within the so much various etiologic conditions; it isn't exclusively posttraumatic, a concept on which analysis had lengthy been dependent. This variable etiology indicates the complexity of algodystrophy's pathogenic mechanism.

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Additional info for Algodystrophy: Diagnosis and Therapy of a Frequent Disease of the Locomotor Apparatus

Example text

The second stage consists in marked local or locoregional demineralization, with a homo- or heterogeneous pattern and blurred appearance of the bone trabeculae and/ or lacunar images with ill-defined margins. The third stage comprises regression of the radiologic anomalies or, mOJ;e often, rarefied bone trabeculae, which appear denser and thickened, and thinning of the cortical bone. There may also be lacunar images but these are well delimited, with clear-cut margins: stage 3 represents a sequellar appearance (Fig.

In the book he published in 1960, Wagner [851] presents a certain number of radiographs with such features but does not comment on them. According to Lacroix and Ponlot [436] this metaphyseal demineralization is better visible in young adults; it becomes less obvious in patients above 50, and is almost invisible in older people. There are two bone extremities which are usually spared since they are affected by more diffuse demineralization, namely the upper extremies of the humerus and the femur.

Stern's cases, with but one exception, were confined to the long bones of the lower extremity, usually to the lower end of the tibia. A certain number of surgeons - it is indeed most often a matter of posttraumatic findings - consider these data as a precursor of algodystrophy. In the book he published in 1960, Wagner [851] presents a certain number of radiographs with such features but does not comment on them. According to Lacroix and Ponlot [436] this metaphyseal demineralization is better visible in young adults; it becomes less obvious in patients above 50, and is almost invisible in older people.

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